Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LIGHTHOUSE SYSTEMS, LLC

NPI: 1902959455 · PHARR, TX 78577 · Emergency Medical Services (Emergency Medicine) Physician · NPI assigned 01/19/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code S5161 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more

$3.54M
Total Medicaid Paid
119,974
Total Claims
119,265
Beneficiaries
2
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, JOHN (PRESIDENT)
NPI Enumeration Date01/19/2007

Related Entities

Other providers sharing the same authorized official: SMITH, JOHN

ProviderCityStateTotal Paid
PRESTIGE HEALTHCARE RESOURCES INC. BLADENSBURG MD $55.74M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $44.35M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $11.62M
PROACT DENTAL, INC. BIRMINGHAM AL $9.47M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $8.33M
DUKE UNIVERSITY HEALTH SYSTEM INC RALEIGH NC $7.84M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $7.61M
WISHON RADIOLOGICAL MEDICAL GROUP, INC. FRESNO CA $5.11M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $5.01M
DUKE UNIVERSITY HEALTH SYSTEM, INC. RALEIGH NC $4.15M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $1.59M
OLD SCHOOL LLC LAKEWOOD OH $800K
GATEWAY MEDICAL GROUP LC OKEECHOBEE FL $447K
TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC CARY NC $437K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $289K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $118K
ASSOCIATED HEALTH SERVICES, INC. DURHAM NC $102K
DUKE HEALTH INTEGRATED PRACTICE, INC. DURHAM NC $64K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $49K
WOMEN'S IMAGING SPECIALISTS IN HEALTHCARE FRESNO CA $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34 $1K
2019 5,502 $166K
2020 19,929 $591K
2021 30,253 $897K
2022 21,021 $624K
2023 24,484 $716K
2024 18,751 $545K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5161 Emergency response system; service fee, per month (excludes installation and testing) 117,570 116,919 $3.45M
S5160 Emergency response system; installation and testing 2,404 2,346 $93K